Return to List

Study Summary
No. 2006-0095:.......Solid Tumors......Stacy Moulder......Breast Medical Oncology
.
Study Summary Title
Study Summary
Number:
2006-0095
Study Title:A Phase 1/1B Dose Escalation Study Evaluating BSI-201 as a Single Agent and in Combination with Irinotecan in Subjects with Advanced Solid Tumors
.
Physician New Patient Referral
Name:Stacy MoulderPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Breast Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2817
Contact us about clinical trials
.
General Information
Disease Group:Solid TumorsSupported By:N/A
Phase of Study:Phase IReturn
Visit:
Patients will return twice a week (day 1 and 4 of each weekly) for 3 weeks of a
28 day cycle, for protocol treatment, then will return on day 28 prior to
starting the next cycle.
Treatment
Agents:
BSI-201Home Care:There will not be home care involved in this study
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
Patients will not be hospitalized for this study
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of the new drug BSI-201 given in combination with irinotecan that can be given
to patients with advanced cancers. Another goal is to learn about any side
effects that may be caused by BSI-201 given in combination with irinotecan.
Researchers also want to find out how BSI-201 given in combination with
irinotecan is absorbed and moved throughout the body and what its effect is on
advanced solid tumors.
.
Study Objectives / Outcomes
Primary Objectives:

Phase 1:
  • To assess the safety, pharmacokinetics, and determine the maximum tolerated dose (MTD) of BSI
201 as a single agent in patients with advanced solid tumors that are refractory to standard therapy.

Phase 1b:
  • To determine the safety and maximum tolerated dose of BSI-201 in combination with irinotecan in
patients with advanced or metastatic breast cancer.
  • To investigate the effect of this maximum tolerated dose of BSI-201 in combination with irinotecan in patients with locally advanced or metastatic breast cancer.

Secondary Objective:
  • To assess safety profiles: significant laboratory changes and adverse events (AEs) not defined as a dose
limiting toxicity (DLT).

Exploratory Objectives:
  • To characterize the inhibition of PARP activity by BSI-201 in peripheral blood mononuclear cells (PBMCs) and tumor
tissues pre- and post-BSI-201 infusion.
  • To study whether the inhibition of PARP activity by BSI-201 has impact on DNA damage induced by a topoisomerase I
inhibitor (irinotecan) in advanced metastatic breast cancer.
  • To study whether BRCA activity is down-regulated in metastatic breast cancer.
  • To study whether the inhibition of PARP by BSI-201 enhances the formation of DNA breaks and cytotoxicity in hypoxic
(HIF-1, CA9, PHD3, PGK1, and PNIP3) in metastatic breast cancer.
.
Study Status Information
Study Activation / Registration Date:05/10/2006
IRB Review and Approval Date:03/15/2006
Study Type:Phase I
Recruitment Status:Closed
Projected Accrual:27
.
Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Pathologically documented, advanced solid tumor that is refractory to standard therapy or for which no standard therapy is available. (phase 1 only)

2) >/= 18 years old with a histologically documented, adenocarcinoma of the breast with progressing locoregional or metastatic disease and at least one bi-dimensionally measurable indicator lesion of at least 2.0 cm as assessed by computed tomography, magnetic resonance imaging, or ultrasonography (phase 1b only)

3) Prior treatment with at least one regimen containing an anthracycline, an anthraquinone, a taxane, or doxorubicin is required (phase 1b only)

4) Maximum of one adjuvant regimen and two regimens for metastatic disease, whether or not all of these were based on anthracycline or taxane (phase 1b only)

5) Eastern Oncology Cooperative Group (ECOG) performance status of </= 2.

6) Absolute neutrophil count (ANC) >/= 1.5 x 10^9/L (without GCF support within 2 weeks of study day 1); platelet count >/= 100.0 x 10^9/L (without transfusion within 2 weeks of study day 1); and hemoglobin >/= 9.0 g/dL (erythropoietic agents allowed).

7) Any prior toxicity from prior chemotherapeutic treatment recovered to </= grade 1.

8) >/= 18 years of age

9) Before any study-specific procedure, the appropriate IRB approved written informed consent must be obtained.

Exclusion Criteria:1) Hematological malignancies

2) Symptomatic or untreated brain metastases requiring concurrent treatment, inclusive of but not limited to surgery, radiation, and corticosteroids.

3) Myocardial infarction (MI) within 6 months of study day 1, unstable angina, congestive heart failure [CHF] with New York Heart Association [NYHA] > class II, uncontrolled hypertension.

4) Known positive test for human immunodeficiency virus (HIV) infection, hepatitis C virus, or chronic active hepatitis B infection.

5) Major surgery within 1 month of study day 1, unless approved by the sponsor

6) Past or current history of second neoplasm, except for curatively treated non-melanoma skin cancer, carcinoma in situ of the cervix and other primary solid cancer with no known active disease present and no curative treatment administered for the last 3 years.

7) History of seizure disorder or currently on anti-seizure medication.

8) Any co-morbid medical condition that, in the opinion of the investigator, would increase the risk of toxicity.

9) Serum creatinine > 1.5 x ULN; Elevated liver enzymes (AST/ALT) > 2.5 x ULN, or > 5.0 x ULN if secondary to liver metastases; alkaline phosphatase > 2.5 x ULN or > 5.0 x ULN if secondary to bone or liver metastases; or total bilirubin > 1.5 x ULN.

10) Systemic chemotherapy within 21 days of study day 1; Radiation therapy within 21 days of study day 1; Antibody therapy for treatment of underlying malignancy within 1 month of study day 1.

11) Concurrent or prior (within 7 days of study day 1) anticoagulation therapy. (The use of low dose warfarin < 2 mg daily] for prophylaxis against central venous catheter thrombosis is allowed].

12) Concurrent use of herbal medications taken with the intent to treat cancer, including St. John's Wort.

13) Currently receiving platelet or GCF support for any medical condition. Radiation therapy is not permitted throughout the course of the study.

14) Subject currently is enrolled in or has not yet completed at least 30 days since ending other investigational device or drug study(s), or subject is receiving other investigational agent(s) not approved for any indication.

15) Subject of child bearing potential who is evidently pregnant (e.g., positive HCG test) or breast feeding.

16) Subject of child bearing potential, or subject who has a partner of child bearing potential, and is not using adequate contraceptive precautions.

17) Subject previously has enrolled in this study.

18) Subject will not be available for follow-up assessment.

19) Subject has any kind of disorder that compromises the ability of the subject to give written informed consent and/or comply with the study procedures.

20) Concurrent chemotherapy with any agent other than BSI-201 or radiation therapy is not permitted throughout the course of the study.
.
Links
Registration Number: NCT00298675 Study Information on Clinical Trials Registry (clinicaltrials.gov)
Other Links:
.
Results
Return to Clinical Trials at M.D. Anderson Cancer Center